Does Aetna Cover Rehab?

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Many people who are searching for addiction treatment worry about the cost of care. Sometimes, insurance can even be the deciding factor when it comes to the type of program that they attend. Individuals who have Aetna may wonder, “does Aetna cover rehab?”

Here at The Healing Center we have heard this question many times. Thus, we have put together a guide that answers the most frequently asked questions about using Aetna for rehab.

Here’s what you need to know about Aetna and addiction treatment.

What is Aetna?

Aetna is an American healthcare insurance company that offers a range of healthcare products and services, including medical, dental, pharmacy, behavioral health, and disability insurance, as well as employee benefits and other related services. Aetna was founded in 1853 and is headquartered in Hartford, Connecticut. The company provides health insurance coverage to over 22 million Americans and has a network of more than one million healthcare providers. Aetna is a subsidiary of CVS Health Corporation, a leading healthcare company in the United States.

How To Use Aetna for Addiction Treatment

Federal laws enacted by the ACA policy ensures that insurance companies provide coverage for those in need of addiction or alcoholism treatment, as well as mental health treatments. Furthermore, these laws ensure that individuals are not required to pay unreasonably large sums in out-of-pocket costs. 

The process of getting into a treatment program will differ based on the policy that an individual holds. For some, it may require what is known as a referral. A referral is a form given to the individual from their primary care provider that refers them into treatment. For others, something called prior authorization is required. Prior authorization is essentially prior approval from an individual’s insurance for treatment. Prior authorization is normally based on ASAM criteria and medical necessity.

It is important to speak with a drug rehab facility prior to entering into treatment. They will run what is known as a verification of benefits in order to explain the process of obtaining approval for treatment from your insurance company. Furthermore, they will be able to explain any out of pocket costs that you may have. If you have questions about your insurance policy, then contact The Healing Center’s admissions team.

Types of Drug Rehab Aetna Covers

Comprehensive drug rehab programs consist of a multitude of treatment types and levels of care. Generally, rehab includes detox services which may be a requirement before an individual can enter into a residential program. The length of stay an individual experiences will vary based on the program, insurance coverage, treatment history, and treatment plan. 

In order to heal from addiction it is important to be surrounded by a supportive peer system who understand what you are going through. Receiving encouragement and advice from peers is a vital piece of the recovery process. That is why The Healing Center is here. We have a strong community support system here to help.

Does Aetna Insurance Cover Detox?

Normally, before entering into addiction recovery, individuals will need to go through the detox process. When people ask, “does Aetna cover drug rehab?”, they normally include detox in that question. A stay at a detox facility is normally at least partially covered by insurance.

Admitting into a detox and rehab can often be a stressful and difficult time in someone’s life. However, at The Healing Center, we work with both the client and their insurance company in order to ensure that treatment is both affordable and accessible.

Confirming Insurance Coverage with Aetna

The first step in determining what treatment options are available to you for addiction is to review your specific health insurance plan and the benefits that it provides. There are hundreds of different insurance options, so it is important to understand your personal coverage. You have the ability to access your insurance information in the packet mailed to you at the beginning of the year or in your member portal online.

Aetna insurance plans may have certain limitations on how many days you can spend at a drug or alcohol rehabilitation center. It may also state that certain services require prior authorization or pre-approval. The type of treatment available will vary depending on your insurance plan. Furthermore, the amount that you spend out of pocket will vary depending on your deductible, co-insurance, and max out of pocket.


Find An Aetna Rehab In New Jersey

If you or a loved one are looking for an Aetna rehab in New Jersey, then The Healing Center in Cherry Hill can help you. Don’t keep wondering, “does Aetna cover drug rehab?”. Contact us today in order to find out if your policy will cover addiction treatment services. We will personally contact your insurance plan and verify your benefits. Once that is completed you will be ready to admit into our facility to get the help you need to heal from addiction. Our team of addiction specialists is here to help you every step of the way. Call us today to verify your insurance plan and learn more about our addiction treatment programs.